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BlueChoice Advantage (CDH) Grandfathered/Small Group Non-ACA Benefit Summaries - Virginia

Benefit summaries are now available for the health plans listed below. Please check the site frequently for summary updates.

Spanish benefit summaries are available upon request. Please contact your CareFirst sales representative for more information.

NOTE: Employers can consult with a CareFirst account executive to explore other plan options that fit their organization's benefit needs.

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Summary of HSA or HRA Combined Rx Plan Options
OptionsFeaturesMedical SummaryRx Summary
Option 1 In: $1,400 Ded; 100% |
Out:
$2,800 Ded; 70%
SUM1679 $10/$25/$45/50%
Option 2 In: $2,000 Ded; 90% |
Out:
$4,000 Ded; 60%
SUM1713 $10/$25/$45/50%

Summary of HRA Separate Rx Plan Options
OptionsFeaturesMedical SummaryRx Summary
Option 1 In: $1,400 Ded; 100% |
Out:
$2,800 Ded; 70%
SUM1676 Standard Rx Options Available
Option 2 In: $2,000 Ded; 90% |
Out:
$4,000 Ded; 60%
SUM1710 Standard Rx Options Available

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